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NPI Code Detail

MEDICARE: ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE

MEDICARE: ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1538150404
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE
Provider Business Mailing Address
First Line : 2516 E DUPONT RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1608
Country : US
Telephone Number : 260-436-2416
Fax Number :
Provider Business Practice Location Address
First Line : 2516 E DUPONT RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1608
Country : US
Telephone Number : 260-436-2416
Fax Number :
Authorized Official
Title or Position : CEO/TREASURER
Name : STEPHEN R SMITH
Credential :
Telephone Number : 260-436-2416
Provider Enumeration Date : 10/31/2005
Last Update Date : 08/22/2020

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Directions to “ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE ” Practice Location

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